Dissertations, Theses, and Capstone Projects

Date of Degree

2-2022

Document Type

Dissertation

Degree Name

Ph.D.

Program

Nursing

Advisor

Steven Baumann

Committee Members

Martha Whetsell

Juan Battle

Subject Categories

Nursing

Keywords

nurse practitioner, hospitalist, hospital medicine

Abstract

Hospital based medicine is the fastest growing medical specialty in the United States. While most hospitalists are internal medicine residency graduates, most of these new internal medicine medical graduates are choosing not to enter hospital medicine, resulting in a growing hospitalist workforce shortage. To fill this staffing gap, nurse practitioners (NPs), some with no previous NP experience, are assuming hospitalist positions. As more NPs assume hospitalist positions, they face challenges adapting to the prevailing physician-based hospitalist model, such as attaining requisite medical knowledge and skills and establishing credibility and rapport with other care team members. Through a series of semi-structured interviews, this qualitative research study explored how NPs working at hospitals in New York State adjusted to the hospitalist position and dealt with various challenges. Findings from this study highlight the need for the development of new and enhanced initiatives, orientation programs, and policies to better support current and future NPs in their hospitalist position.

Included in

Nursing Commons

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